| Regimental number | 5402 |
| Place of birth | Port Noarlunga, South Australia |
| Religion | Church of England |
| Occupation | Labourer |
| Address | Point McLeay Mission Station, South Australia |
| Marital status | Single |
| Age at embarkation | 30 |
| Height | 5' 2.25" |
| Weight | 125 lbs |
| Next of kin | Sister, Mrs G Fishier, Point McLeay Mission Station, South Australia |
| Previous military service | Nil |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 6th Battalion, 17th Reinforcement |
| AWM Embarkation Roll number | 23/23/4 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A14 Euripides on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 59th Battalion |
| Fate | Returned to Australia |
| Other details |
War service: Western Front Medals: British War Medal, Victory Medal |
| Date of death | |
| Place of burial | Nichols Point Cemetery, Victoria |